Elective repeat cesarean delivery versus trial of labor: A meta-analysis of the literature from 1989 to 1999

Objective: The aim of this study was to compare a trial of labor with elective repeat cesarean delivery among women with previous cesarean delivery. Study Design: We searched MEDLINE and EMBASE databases from 1989 through 1999 with the following terms: vaginal birth after cesarean delivery, trial of labor, trial of scar, and uterine rupture. We included all controlled trials from developed countries in which the control group had been eligible for a trial of labor. Outcomes of interest were uterine rupture, hysterectomy, maternal febrile morbidity, maternal mortality, 5-minute Apgar score